Individual
DR. ROGER K MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8013 L ST, RALSTON, NE 68127-1734
(402) 592-7686
(402) 592-0689
Mailing address
8013 L ST, RALSTON, NE 68127-1734
(402) 592-7686
(402) 592-0689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1145
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36609
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/31/2006
Last updated
07/08/2007
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